Prisma Health-Midlands

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PRISMA HEALTH-MIDLANDS

Practice address

1330 Talyor at Marion Streets
1St Floor Suite 100
Coulmbia, SC 29201

Phone

(803) 296-2548

Fax

(803) 296-2525

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Polly H Miller

Title

VP Payor Strategies Alignment

Phone

(864) 522-2286

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prisma Health Emergency Physicians Baptist Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Palmetto Health

  • Internal Medicine Physician
  • Easley, SC
  • NPI 1275564007

  O20040512000745

  Same enrollment
• Prisma Health-Midlands

  • Emergency Medicine Physician
  • Columbia, SC
  • NPI 1467400846

  O20040512000745

  Same enrollment
• Prisma Health-Midlands

  • Behavioral Neurology & Neuropsychiatry Physician
  • Columbia, SC
  • NPI 1487078663

  O20040512000745

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1922051143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 TALYOR AT MARION STREETS",
            "address_2": "1ST FLOOR SUITE 100",
            "city": "COULMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP PAYOR STRATEGIES ALIGNMENT",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3930",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Karla.powell@prismahealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1330 Talyor at Marion Streets",
            "address_2": "1st Floor Suite 100",
            "city": "Coulmbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prisma Health Emergency Physicians Baptist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prisma Health Emergency Physicians Baptist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Suzanne Geyer, RD
• Kelly Marie Lewis, RD
• Palmetto Health
• Palmetto Heatlh
• Prisma Health-Midlands

• Emergency Medicine Physician in Coulmbia, SC
• Providers in Coulmbia, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.